| NPI | 1467762252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 007307) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0003060) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |